Nursing Elites

1. Which of the following is not part of the axial skeletal system?

• A. the skull
• B. the ribs
• C. the breastbone
• D. the radius

Correct answer: D

Rationale: The correct answer is D, the radius. The axial skeleton comprises bones located along the central axis of the body. It includes the skull, ribs, breastbone (sternum), vertebrae, and sacrum. The radius, on the other hand, is a bone of the forearm, part of the appendicular skeleton. The appendicular skeleton consists of the bones of the limbs and their girdles, not the central axial bones.

2. Which of the following are considered normal values for the measure of a person’s pulse and blood pressure?

• A. 55 beats per minute and 75 over 60 mm Hg
• B. 72 beats per minute and 120 over 80 mm Hg
• C. 100 beats per minute and 140 over 100 mm Hg
• D. 160 beats per minute and 100 over 70 mm Hg

Correct answer: B

Rationale: Normal values for pulse rate typically range between 60 to 100 beats per minute, while normal blood pressure values are usually around 120/80 mm Hg. Option B falls within these normal ranges for both pulse rate and blood pressure, making it the correct choice. Choices A, C, and D have either pulse rate, blood pressure, or both values outside the normal ranges, making them incorrect.

3. What is the function of the pituitary gland?

• A. Regulating metabolism
• B. Producing bile
• C. Filtering blood
• D. Controlling muscle movement

Correct answer: A

Rationale: The pituitary gland, known as the 'master gland,' plays a crucial role in regulating various physiological processes by secreting hormones that control other endocrine glands. This includes the regulation of metabolism, growth, reproduction, stress response, and more. Therefore, the correct function of the pituitary gland is regulating metabolism, making choice A the correct answer. Choices B, C, and D are incorrect as the pituitary gland is not involved in producing bile, filtering blood, or controlling muscle movement.

4. Which hormone is released by the adrenal glands during stress?

• A. Insulin
• B. Adrenaline
• C. Melatonin
• D. Cortisol

Correct answer: B

Rationale: Adrenaline, also known as epinephrine, is released by the adrenal glands during stress to prepare the body for rapid action. It helps in triggering the body's fight-or-flight response, increasing heart rate, and providing a burst of energy when faced with stressful situations. Insulin (Choice A) is produced by the pancreas to regulate blood sugar levels, not by the adrenal glands. Melatonin (Choice C) is a hormone that regulates sleep-wake cycles and is produced by the pineal gland, not the adrenal glands. Cortisol (Choice D) is another hormone produced by the adrenal glands, but it is not the primary hormone released during immediate stress responses; it is more involved in long-term stress regulation.

5. Where do nearly all of the gaseous exchanges between air and blood take place in the lungs?

• A. Pleura
• B. Trachea
• C. Bronchioles
• D. Alveoli

Correct answer: D

Rationale: Nearly all gaseous exchanges between air and blood take place in the alveoli of the lungs. The walls of the alveoli are thin and surrounded by an extensive network of tiny blood vessels called capillaries. Oxygen from the air diffuses through the alveoli walls and into the bloodstream, while carbon dioxide, a waste product, diffuses from the blood into the alveoli to be exhaled out of the body. This process is essential for respiration and providing oxygen to the body's cells. Choices A, B, and C are incorrect. Pleura is the membrane surrounding the lungs, trachea is the windpipe that carries air to the lungs, and bronchioles are the smaller air passages in the lungs. However, the primary site for gaseous exchange is the alveoli due to their structure and function.

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